外展承重运动塑形联合疗法治疗股骨头坏死的临床研究  

Clinical Research on Abducted Weight Bearing Movement and Moulding Exercise for Osteonecrosis of Femoral Head

作　　者：史达[1] 孙银娣[1] 张平安[1] 刘娜[1] 袁浩[2] 

机构地区：[1]西安市红十字会医院中医骨科,710054 [2]广州中医药大学第一附属医院,510405

出　　处：《美中国际创伤杂志》2010年第2期9-12,共4页U.S.Chinese International Journal of Traumatology

摘　　要：目的：观察外展承重运动塑形联合中药及牵引疗法治疗股骨头坏死的临床疗效，为进一步临床应用提供依据。方法：对62例（85髋）股骨头坏死患者进行外展承重运动塑形联合中药及牵引疗法，随访1～7年，进行功能评分和影像学评价。结果：临床疗效评价结果：优40．0％（34髋），良50．6％（43髋），可8．2％（7髋），差1．2％（1髋），总优良率90．6％；影像学疗效评价结果：优87．0％（74髋），良11．8％（10髋），可1．2％（1髋），差0％（0髋），总优良率98．8％（84髋）。结论：外展承重运动塑形联合中药及牵引疗法可明显改善患者功能，预防进一步塌陷。Objective： To observe the effect of abducted weight bearing movement and moulding exercise in osteoneerosis of the femoral head and to provide a better theoretical basis for more extensive clinical application. Methods： 62 femoral head necrosis patients （85 hips）, including 32 male and 30 female, with a mean age of 48.9 years （range, 20-73 years）, underwent abducted weight bearing movement and moulding exercise, as well as the treatment of traditional chinese medicine and traction from January 2000 to February 2007. All cases were followed-up for a period of 2.4 years （range, 1-7 years） and the effect was evaluated with hip scores and the X-ray. Results： The result of hip scores was evaluated as excellent in 34 hips （40.0%）, good in 43 hips （50.6%）, fair in 7 hips （8.2%） and poor in 1 hip （1.2%）. Excellent and good rate was 90.6%. The result of imaging was evaluated as excellent in 74 hips （87.0%）, good in 10 hips （11.8%） and fair in 1 hip （1.2%）. Conclusion： Abducted weight bearing movement and moulding exercise as well as traditional chinese medicine and traction can improve the function of hips, prevent collapse of the femoral head, and provide a better theoretical basis for more extensive clinical application.

关 键 词：外展承重运动塑形联合疗法 股骨头坏死 治疗 

分 类 号：R681.8[医药卫生—骨科学]